Abnormal Uterine Bleeding Evaluation by Endometrial Aspirati
According to the results of a recently published study, endometrial aspiration is a simple, safe, and effective method to sample endometrium in cases of abnormal uterine bleeding (AUB) avoiding risk of anesthesia and is less time-consuming.

Endometrial evaluation is generally indicated in cases presenting with abnormal uterine bleeding (AUB), especially in women more than 35 years of age. AUB encompasses a variety of presentation, for example, heavy menstrual bleeding, frequent bleeding, irregular vaginal bleeding, postcoital and postmenopausal bleeding to name a few.

Many methods are used for the evaluation of such cases, with most common being sonography and endometrial biopsy with very few cases requiring more invasive approach like hysteroscopy. Endometrial aspiration is a simple and safe office procedure used for this purpose.

In the present study, the authors retrospectively analyzed cases of AUB where endometrial aspiration with Pipette (Medgyn). 115 cases were included in the study after applying inclusion and exclusion criteria. Most cases were between 46 and 50 years of age followed by 41–45 years. No cases were below 25 or more than 65 years of age.

Heavy menstrual bleeding was the most common presentation of AUB. Adequate samples were obtained in 86% of cases while 13.9% of cases' sample was inadequate for opinion, many of which were later underwent hysteroscopy and/or dilatation and curettage (D and C) in operation theater; atrophic endometrium was the most common cause for inadequate sample.

Uterine malignancy was diagnosed in three cases. Endometrial aspiration has been compared with traditional D and C as well as postoperative histopathology in various studies with good results. Many such studies are done in India as well as in western countries confirming good correlation with histopathology and adequate tissue sample for the pathologist to give a confident diagnosis. No complication or side effect was noted with the use of this device.

Read in detail here: http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2018;volume=9;issue=1;spage=32;epage=35;aulast=Singh
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